License Directory

Jackson Raymond Randolph

Active

California license A202960

License

Licensed by
Medical Board of California
License number
A202960
Status
Active (Current)
First issued
May 19, 2025
Expires
July 31, 2027
License holder
Jackson Raymond Randolph
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

35 Casa St
Suite 130
San Luis Obispo, CA 93405-1818
San Luis Obispo County